Menopause & Sleep: Why Insomnia and Night Waking Can Get Worse

Difficulty sleeping is a recognised menopause symptom. Some people struggle to fall asleep, wake repeatedly, or wake too early; night sweats, anxiety and other symptoms can make the problem worse.

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Why can sleep change?

Menopause symptoms can interact. Night sweats may wake you, anxiety can make it harder to settle, and poor sleep can worsen tiredness, concentration and mood the following day.

What can help sleep?

Consistent sleep and wake times, a cool bedroom, regular exercise, reducing late caffeine and excess alcohol, and addressing symptoms that repeatedly wake you can help. Persistent insomnia deserves assessment because menopause is not the only possible cause.

Can menopause treatment improve sleep?

When sleep problems are linked to vasomotor symptoms, treating those symptoms may help. NICE also supports menopause-specific CBT as an option for sleep problems associated with vasomotor symptoms, including for people who prefer not to use HRT or when HRT is unsuitable.

When should you seek help?

Seek professional advice if poor sleep is persistent, significantly affecting daily life, or accompanied by symptoms suggesting another sleep, physical or mental health condition.

Read about hot flushes and night sweats, brain fog and anxiety and low mood.

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General information only and not a diagnosis.